Joni E Sund, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

760023 Issued in WI

Practice address

11051 N Sherman Rd
Edgerton, WI 53534-9002

Phone

(608) 884-3354

Fax

(608) 884-5022

NPI assigned

Oct 12, 2005

Last updated

Jan 22, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dean Health Systems, Inc,

  dba Dean Clinic-Beaver Dam Family & Sports Orthopedic Center

  • Durable Medical Equipment & Medical Supplies
  • Beaver Dam, WI
  • NPI 1336425016
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453420800000",
    "number": "1831187954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11051 N SHERMAN RD",
            "city": "EDGERTON",
            "state": "WI",
            "postal_code": "535349002",
            "telephone_number": "608-884-3354",
            "fax_number": "608-884-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11051 N SHERMAN RD",
            "city": "EDGERTON",
            "state": "WI",
            "postal_code": "535349002",
            "telephone_number": "608-884-3354",
            "fax_number": "608-884-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUND",
        "first_name": "JONI",
        "middle_name": "E",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2016-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "760023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831187954",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Splitter, RN
• Sport & Spine Clinic of Fort Atkinson Limited Partnership (Sport & Spine Clinic of Edgerton)
• Lydia Stevenson, RDN
• Charlene Fay Stipes, PTA
• Susan C. Stockel, OTR
• Lai Thao, PA-C
• Thomas H Reitz DDS SC
• Kevin C Trampe, PHARMD
• True Health and Performance LLC
• Tonya Jo Vike, RN

• Physician Assistant in Edgerton, WI
• Providers in Edgerton, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.